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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36623/psn-pdf
    April 24, 2015 - Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products. April 24, 2015 Fed Reg. Nov. 28, 2006;71:68819. https://psnet.ahrq.gov/issue/public-meeting-improving-patient-safety-enhancing-container-labeling- parenteral-infusion-drug The US Food and Drug Ad…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43437/psn-pdf
    August 13, 2014 - Diagnostic error: untapped potential for improving patient safety? August 13, 2014 Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag. 2014;34(1):38-43. doi:10.1002/jhrm.21149. https://psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-saf…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41158/psn-pdf
    February 22, 2012 - Strategies for improving patient safety: linking task type to error type. February 22, 2012 Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse. 2012;32(1):52-78. doi:10.4037/ccn2012303. https://psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-t…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36810/psn-pdf
    November 19, 2014 - A Systems Approach to Quality Improvement in Long- Term Care: Safe Medication Practices Workbook. November 19, 2014 Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, Massachusetts Extended Care Foundation. Boston, MA: Commonwealth of Massachusetts; 2008. https://psnet.ahrq.gov/issue/systems-ap…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/transform.pdf
    January 01, 2020 - Transforming Hospitals: Designing for Safety and Quality 1 Background The 1999 Institute of Medicine’s landmark report, To Err is Human: Building a Safer Health System, exposed the tremendous costs, both in human and financial terms, of medical errors in the U.S. health care system.1 Two studies cited in the rep…
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
    June 01, 2023 - A Guide to Leading Successful Perioperative TeamsAHRQ Safety Program for Improving Surgical Care and Recovery Purpose of the tool: Assembling a multidisciplinary perioperative team is one of the first, and most critical, steps in your AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) journey. This do…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
    January 01, 2012 - Project Report - Lean Sigma * National Content Webinar CUSP: A Framework for Success March 7, 2012 * * Today’s Speakers Marge Cannon, Medical Officer, CMS Minet Javellana, Health Insurance Specialist, CMS Barb Edson, Vice President of Clinical Quality, HRET Chris George, Director of National Projects, MHA…
  8. effectivehealthcare.ahrq.gov/sites/default/files/related_files/hepatitis-c-treatment-adherence_disposition-comments.pdf
    December 20, 2012 - We did not feel it was within the scope of this review to summarize the improvements seen in adherence
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-1.pdf
    May 02, 2016 - Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice Case Study Problem Addressed A typical primary care visit is not always a satisfying encounter for either the provider or the patient. Providers feel stressed by the need for efficiency and the demands of electronic…
  10. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 6: Operating a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program …
  11. psnet.ahrq.gov/print/pdf/node/867461
    January 31, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Patient and Family Engagement in Long Term Care Curated Library Foundations Long-term Care and Patient Safety Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024 A large and growing number of Americans require care in skilled nursin…
  12. digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american/final-report
    January 01, 2023 - Communication-Focused Technologies for Improving the Health of Young African-American Women - Final Report Citation Jack B, Bickmore T, Cuoco M, et al. Communication-Focused Technologies for Improving the Health of Young African-American Women - Final Report. (Prepared by Boston University under Contr…
  13. digital.ahrq.gov/ahrq-funded-projects/can-risk-score-alerts-improve-office-care-chest-pain/citation/electronic-risk
    January 01, 2023 - Electronic risk alerts to improve primary care management of chest pain: a randomized, controlled trial. Citation Sequist TD, Morong SM, Marston A, et al. Electronic risk alerts to improve primary care management of chest pain: a randomized, controlled trial. J Gen Intern Med 2012;27(4):438-44. …
  14. digital.ahrq.gov/ahrq-funded-projects/improving-uptake-and-use-personal-health-records/final-report
    January 01, 2023 - Improving Uptake and Use of Personal Health Records - Final Report Citation Bates, D. Improving Uptake and Use of Personal Health Records - Final report. (Prepared by Brigham and Women's Hospital under Grant No. R18 HS018656). Rockville, MD: Agency for Healthcare Research and Quality, 2012. PDF…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45926/psn-pdf
    May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers. May 17, 2017 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50876/psn-pdf
    April 22, 2021 - Veterans Accountability Improvement Act. April 22, 2021 SB 1307, 117th Congress: 2021. https://psnet.ahrq.gov/issue/veterans-accountability-improvement-act Reporting clinicians who exhibit practice behaviors that are detrimental to safety is challenged by system and cultural norms. This legislation aims to strengt…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44529/psn-pdf
    September 30, 2015 - Learning from no-fault treatment injury claims to improve the safety of older patients. September 30, 2015 Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810. https://psnet.ahrq.gov/issue/learning-no-fault-treatment…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34991/psn-pdf
    June 22, 2009 - Use of failure mode and effects analysis in improving the safety of i.v. drug administration. June 22, 2009 Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20. https://psnet.ahrq.gov/issue/use-failure-mode-an…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41710/psn-pdf
    November 08, 2012 - Improving teamwork on general medical units: when teams do not work face-to-face. November 8, 2012 McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478. https://psnet.ahrq.gov/issue/improving-tea…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60627/psn-pdf
    June 24, 2020 - Second opinions improve healthcare outcomes and reduce costs. June 24, 2020 Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News. 2020;June 8. https://psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs Second opinions are a strategy for redu…